This topic contains a solution. Click here to go to the answer

Author Question: A patient is taking an aminoglycoside and a cephalosporin. The primary care NP should consider _____ ... (Read 70 times)

justinmsk

  • Hero Member
  • *****
  • Posts: 524
A patient is taking an aminoglycoside and a cephalosporin. The primary care NP should consider _____ the dose of _____.
 
  a. increasing; cephalosporin
  b. decreasing; cephalosporin
  c. increasing; aminoglycoside
  d. decreasing; aminoglycoside

Question 2

A 20-kg child takes valproic acid (Depakote) for seizures and has had regular dose increases with a current dose of 250 mg twice daily.
 
  The child continues to have one to two seizures each week along with significant drowsiness that interferes with school participation. The primary care NP should contact the child's neurologist to discuss: a. obtaining a serum valproic acid level.
  b. changing the medication to gabapentin (Neurontin).
  c. increasing the valproic acid by 5 mg per kg of weight.
  d. adding lamotrigine (Lamictal) to this child's drug regimen.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

peilian

  • Sr. Member
  • ****
  • Posts: 316
Answer to Question 1

D
Cephalosporins can heighten aminoglycoside toxicity, so a decrease in the dose of the aminoglycoside should be considered.

Answer to Question 2

D
Research suggests a combination of lamotrigine and valproate to be the most effective regimen in patients with refractory epilepsy. Valproic acid dosing may be increased to a maximum of 60 mg/kg/day unless side effects prevent further increase in dosage. The other drugs are not recommended.





 

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

For a complete list of videos, visit our video library